Individual provider Active NPI

Melinda L Kakish, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1609832682
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301068182 Issued in MO
Practice address
27555 Farmington Rd
Suite 120
Farmington Hills, MI 48334-3376
Phone
(248) 477-5608
Fax
(248) 427-0010
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301068182 MO Primary
Pediatrics Physician 208000000X 4301068182 MI

Addresses

Primary practice location

27555 Farmington Rd
Suite 120
Farmington Hills, MI 48334-3376

Mailing address

27555 Farmington Rd
Suite 120
Farmington Hills, MI 48334-3376
Phone (248) 477-5608

Other identifiers 1

IdentifierTypeStateIssuer
P00857642OtherMIRAILROAD MEDICARE

Other names 1

  • Melinda Linerode Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000495 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2668532540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Haller and Hug PCGroup PAC ID 4082774922, 7 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

27555 Farmington Rd
Suite 120
Farmington Hills, MI 48334-3376
Phone (248) 477-3701

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301068182MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haller & Hug, PC Internal Medicine CurrentSince Sep 1, 2000 Accepting new patients

Locations

27555 Farmington Rd
Ste 120
Farmington Hills, MI 48334
Phone (248) 477-3701

Interoperability endpoints

  • Direct secure messaging: melindakakish@hhpc.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1609832682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-477-5608",
            "fax_number": "248-427-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 FARMINGTON RD",
            "address_2": "SUITE 120",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343376",
            "telephone_number": "248-477-5608",
            "fax_number": "248-427-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKISH",
        "first_name": "MELINDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "4301068182",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301068182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00857642",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "LINERODE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.